Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,539.50 / $19,539.50 / $54,996.60	Facility		$19,539.50	$19,539.50	$54,996.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,631.57 / $15,631.57 / $19,539.50	Professional		$15,631.57	$15,631.57	$19,539.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,201.13 / $5,251.41 / $8,500.00	Professional		$4,201.13	$5,251.41	$8,500.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $15,914.47 / $15,914.47	Professional		$150.00	$15,914.47	$15,914.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,314.91 / $6,797.36 / $20,438.28	Facility		$4,314.91	$6,797.36	$20,438.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,055.82 / $16,282.88 / $20,093.07	Professional		$6,055.82	$16,282.88	$20,093.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,608.47 / $6,472.37 / $9,260.83	Facility		$4,608.47	$6,472.37	$9,260.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,487.31 / $6,055.59 / $9,260.83	Professional		$4,487.31	$6,055.59	$9,260.83
United Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $16,282.88 / $17,911.16	Professional		$16,282.88	$16,282.88	$17,911.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,314.91 / $4,314.91 / $4,314.91	Facility		$4,314.91	$4,314.91	$4,314.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,408.78 / $4,314.91 / $4,314.91	Professional		$3,408.78	$4,314.91	$4,314.91